| NPI | 1932298700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY E COCHRAN Administrator 931-484-6129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000312) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-09-21 |