| NPI | 1891579033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAURA LECHELLE SCALES Owner 901-503-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |