| NPI | 1962690867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA CISSY MCLEAN CEO 615-320-1011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TN 0000001961) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: TN 106910) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TN 00743) | |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2010-06-24 |