| NPI | 1154636199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZONEKE DOMINO-THOMAS Owner 901-383-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-08-14 |
| Last Update Date | 2010-08-14 |