| NPI | 1700825668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNN KRUTAK EVP/CFO 423-302-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009050) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-09-22 |