| NPI | 1073832978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMARIO WILLIAMSON Manager 901-484-6846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-05-18 |