| NPI | 1477822336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO LARA Owner/CPO 615-740-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: DE cpo02324) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2012-05-07 |