| NPI | 1972531556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALGIE JOHNSON Operations Manager 423-756-7050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000497) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-12-18 |