| NPI | 1588997563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMILIA KOZLOWSKI Medical Director 865-584-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2009-09-09 |