| NPI | 1881691954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARON O. HUBER Owner 865-806-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 372) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: AL 372) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: AL 372) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2016-04-07 |