| NPI | 1306325980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MATUKEWICZ Secretary 423-756-2268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |