| NPI | 1790781201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY NUSBAUM Pres/Owner 423-629-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 613) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2020-08-22 |