| NPI | 1144651175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A SMITH Owner 423-943-4771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 1184) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009842) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2024-06-25 |