| NPI | 1407326911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR ENRIQUEZ President 615-348-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2019-08-29 |