| NPI | 1730372798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABLOO CHACKO Administrator 615-575-4176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2009-01-14 |