| NPI | 1194817916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GLASS OWENS President 901-379-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 0000000805) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000805) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 06285/11.1) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MS 06285/11.1) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-01-08 |