| NPI | 1730330978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA CISSY MCLEAN CEO 615-416-1510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TN 00743) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 106910) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2010-06-18 |