| NPI | 1699809558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN E BECKNER President 423-553-8176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 71681300) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2009-05-08 |