| NPI | 1912423849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA CHAUNCEY Payer Relations Manager 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 | 2017-08-22 |
| Last Update Date | 2020-09-17 |