NPI | 1770227647 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY MATUKEWICZ Secretary 423-756-2268 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
Enumeration Date | 2022-04-26 |
Last Update Date | 2022-04-26 |