| NPI | 1518317411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JACKSON President 615-358-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 94719) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-06-21 |