| NPI | 1073587549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN CLANTON CFO 615-221-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OH 02-0894150) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OH 02-0894150) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-08-19 |