| NPI | 1326228206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY G LUTTRELL Chief Manager 865-588-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 1190) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2018-06-21 |