| NPI | 1386685261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTONIA SIMMONS President 901-219-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |