| NPI | 1689603532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY FORSHEE Vice President 423-559-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 673) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 673) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-02-16 |