| NPI | 1093018897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN P FRITSCH Member 615-758-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 2729) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |