| NPI | 1720595028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE FULLER VP Of Operations 423-771-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-09-26 |