| NPI | 1245209451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANNY H. DELOACH Owner 901-861-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000494) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-12-15 |