| NPI | 1841779105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFE K OWEN Manager 615-403-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN DMEHS4340) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2022-08-11 |