| NPI | 1487930848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LESLIE Reimbursement Director 901-526-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 1009) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |