| NPI | 1063636850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN L RAGSDALE Billing Manager 615-453-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2009-02-02 |