| NPI | 1619921871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEE BOWMAN Chief Manager 901-507-2561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |