| NPI | 1326410739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD VON ESSEN Executive Director 423-340-1266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2015-10-25 |