| NPI | 1760652291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK W RABY Owner 865-982-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN DPO 446) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2008-03-12 |