| NPI | 1356525612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTY J LANKFORD Owner 615-790-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 422) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2008-06-24 |