| NPI | 1518395904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BOYD Owner 901-292-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 00059364) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |