| NPI | 1922026616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R BAXTER Owner/President 931-375-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 068883/11.1) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2024-11-25 |