| NPI | 1427106152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA C. HINNANT Vice President 270-769-2053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2011-09-16 |