| NPI | 1699841619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWARD PEARCE Owner Administrator 423-547-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 000002328) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2017-11-02 |