| NPI | 1801654645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES R QUINN Owner, Principle Officer 423-756-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |