| NPI | 1841275989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOREN LOUISE DEBERRY Owner 901-369-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 332B00000X) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-08-22 |