NPI | 1902232390 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY MATUKEWICZ Secretary 423-756-2268 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2013-09-18 |
Last Update Date | 2021-02-09 |