| NPI | 1598910721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILBERT JEROME JACKSON President 615-668-9145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |