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 |