| NPI | 1255661534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN FORD Owner 901-461-5441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000687) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-12 |