NPI | 1609172659 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES MICHAEL LOFTIS CEO/President 865-415-2740 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000910) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Enumeration Date | 2011-02-08 |
Last Update Date | 2025-09-12 |