| NPI | 1174670129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EDWARD HOOTEN Owner 615-883-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000688) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TN 0000000688) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000688) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-07-03 |