| NPI | 1255895561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RILEY LUNN Owner 423-892-5137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |