| NPI | 1083188361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FENELLA GUTIERREZ Owner 423-305-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-19 |
| Last Update Date | 2019-01-19 |