| NPI | 1689601809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY LEEMAN Executive Director 865-690-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-01-28 |