| NPI | 1033277447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE MOORE Owner 423-476-5547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000700) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-06-29 |