| NPI | 1801131073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE A GRAYSON Administrator 423-702-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN APPLIED FOR) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |