| NPI | 1154509214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DENEISE STANDEFER RN/President 423-802-5143 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000727) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2009-01-09 |