| NPI | 1346402690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MONTGOMERY Owner 731-584-7919 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 878) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2012-04-13 |