| NPI | 1659919074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED MCPHERSON Manager 865-771-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2024-02-04 |