| NPI | 1326494329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLE GOLDEN Owner 901-239-3194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2016-08-04 |