| NPI | 1386739142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN B. LARSON Managing Member 615-325-1215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 38266) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |