| NPI | 1154173102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EBER Authorized Official 901-252-3411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-15 |