| NPI | 1154543841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHON CANELL ETCHISON CEO 423-305-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-08-27 |