| NPI | 1720271695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALIA R LANKFORD Manager 615-771-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000422) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2010-04-23 |