| NPI | 1275844110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERREA SHENESE FLEMING Owner 901-604-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |