| NPI | 1235145657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY C HENDERSON Owner 423-505-9880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 692) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-05-07 |