| NPI | 1740215672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BYRON CHESNUT Owner/President 270-885-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-10-13 |