| NPI | 1427003201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DENEISE STANDEFER President (Co Owner) 423-847-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000727) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-10-24 |