| NPI | 1043262280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELBERT H FRIAR Owner 423-847-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 000000726) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 000000726) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-06-16 |