| NPI | 1790419257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL LOFTIS Member/Manager 865-415-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2023-04-06 |