| NPI | 1700346293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY YVETTE LOCKRIDGE Manager 615-345-4101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |