| NPI | 1619716396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HENRY Managing Member 865-309-4303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |