| NPI | 1811065485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN DEBUSK Chief Manager 865-362-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-11-15 |