| NPI | 1720089378 |
|---|---|
| Doing Business As | TRICARE |
| Entity Type | Organization |
| Authorized Contact | STEVEN KEITH PPOOL President 270-365-3903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: IN 07-006589-1) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2022-07-21 |