| NPI | 1306196530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E BRICKHOUSE Owner 865-288-3754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2013-11-01 |