| NPI | 1740439207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD OSCAR HILL Vice President 276-755-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE CPED2796) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: DE CPED2796) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |