| NPI | 1497178693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA C MONTGOMERY Pres/Owner 731-584-7919 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 878) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2014-01-29 |