| NPI | 1871891804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE EDENS Billing Manager 615-446-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000000710) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 0000000710) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |