| NPI | 1275518847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BAXTER Owner/President 931-375-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 101206295) |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2024-10-21 |