| NPI | 1265458657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY S WOLFE President 865-686-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TN 2443) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 527) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: TN 527) | |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2022-06-09 |