| NPI | 1417305798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY BOHANAN CFO 865-689-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0317777) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-06-29 |