| NPI | 1740473826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACQUEL FERNANDEZ O'RILEY President & CEO 615-299-7293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0097833) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 0097833) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-10-27 |