NPI | 1548828320 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY MATUKEWICZ Corporate Secretary 423-756-2268 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor |
Additional Taxonomies | 171WH0202X Contractor Home Modifications |
332B00000X Durable Medical Equipment & Medical Supplies | |
332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
Enumeration Date | 2019-06-05 |
Last Update Date | 2019-06-05 |