| NPI | 1407041130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C WARREN Dme Clinical Coordinator 270-929-3281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2011-02-03 |