| NPI | 1841260809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD DRAKE Owner/President 423-875-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000683) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2007-08-08 |