| NPI | 1447541669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM VANDERPOOL HILLEARY Administrator / Owner 931-680-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN Applied For in TN) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2012-01-26 |