| NPI | 1295879823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LEE SIMMS Owner 615-867-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 928) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2009-07-28 |