| NPI | 1255703583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA BASS CEO 901-690-2968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care (Licence: TN 0000163266) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |