| NPI | 1508023722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTY J LANKFORD Owner 615-778-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 422) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2015-10-06 |