| NPI | 1811446859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLIE BROCCO President 615-804-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |