| NPI | 1386733111 |
|---|---|
| Other Name | ELIZABETHTON BRANCH |
| Entity Type | Organization |
| Authorized Contact | EULA FAY WOODARD Secretary/Treasurer 423-727-5421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000407) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2010-11-19 |