| NPI | 1891843678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CASTEEL CFO 731-644-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000057) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-04-14 |