| NPI | 1124279807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA CISSY MCLEAN CEO 615-891-4154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 6510133) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2012-11-06 |