| NPI | 1689099020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MARIE PADGETT President 270-766-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-02-21 |