| NPI | 1245291632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA CRUMP Owner 423-614-0297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000001821) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2011-06-30 |