| NPI | 1700074671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA GLASS OWENS Owner/President 901-379-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL 776) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 776) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-12-20 |