| NPI | 1801026836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANCE SHAE DRAINE Owner 901-921-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |