| NPI | 1114082674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA STARR HUGHES Owner/Partner 865-281-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 00000707) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2013-01-24 |