| NPI | 1699770198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON B GARRETT President 270-444-0948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-08-22 |