| NPI | 1558612077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE SUE HOPSON Coadministrator 423-626-3315 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: KY HME00251) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2016-11-21 |