| NPI | 1558613034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN JONES Owner 901-292-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 695062) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |