| NPI | 1861700379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY SALVATI Manager 423-232-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 30967) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |