| NPI | 1558051391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIJUANA STEWART Owner 901-446-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2023-05-12 |