| NPI | 1528180833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MOONEY Owner 423-926-3337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 887) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2015-09-01 |