| NPI | 1619742145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN LONG Managing Partner 901-277-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |