| NPI | 1174792816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK K JENSEN Owner 615-356-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 332BC3200X) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |