| NPI | 1346808862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN TRIVETTE Owner 865-687-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |