| NPI | 1326275561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS EDWARD RICHARDSON Owner 901-683-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 109003150) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |