| NPI | 1265700447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA W ELLIS Assistant To The President 276-619-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009641) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |