NPI | 1952899205 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF MATUKEWICZ Corporate 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 | 2018-04-23 |
Last Update Date | 2020-03-27 |