| NPI | 1821544057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ RAVINDRAN Administrator 931-278-6426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |