| NPI | 1649279845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. DOUGLAS ELLIS President 276-628-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206008402) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-08-13 |