| NPI | 1316046014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZEKIEL LEE STOUT President 615-469-1549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |