| NPI | 1346515343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEE GUSTAVE Owner 423-834-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 044113) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2012-03-09 |