| NPI | 1114909330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY NEIL FOUST Chief Manager/Owner 901-373-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2020-08-22 |