| NPI | 1528111408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE DAVIS Ownerpresident 865-671-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 101485314) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-02-03 |