| NPI | 1245812874 |
|---|---|
| Other Name | BLUE MOUNTAIN THERAPY DURABLE MEDICAL EQUIPMENT |
| Entity Type | Organization |
| Authorized Contact | MELISSA HOPE HENDERSON Office Manager 276-525-6043 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |