| NPI | 1639516289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CLARK CFO 901-791-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2021-05-26 |