| NPI | 1881839512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY A TINNELL Owner 888-321-2794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 449487) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2009-01-28 |