| NPI | 1730262320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ANDRE CARVER Owner 901-486-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: TN 153) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2023-04-21 |