| NPI | 1497148985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLESHA L JOHNSON Owner/Provider 423-227-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |