| NPI | 1841775798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CARTER Office Coordinator 270-789-6087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-27 |