| NPI | 1487611810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EULA FAY WOODARD Treasurer 423-727-5421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000407) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2007-10-29 |