| Organization Name: | CUMBERLAND VITAL CARE, LLC |
| NPI Number: | 1114943776 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SAMUEL ARMES (MANAGER) |
| Mailing Address: | 336 S Main St Crossville |
| State: | TN US |
| Postal Code: | 385554838 |
| Phone Number: | 9314560680 |
| Fax Number: | 9314564857 |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 11/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 3030 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |