| NPI | 1043329857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GUTKNECHT Regional Director 901-526-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 802) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-07-05 |