| NPI | 1780113696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BAXTER Owner 931-375-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2025-09-05 |