| NPI | 1508934894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN WOLFE General Manager 901-230-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 33B00000X) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: TN 332BN1400X) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2020-08-22 |