| NPI | 1972687176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIS J FOOSHEE Owner 901-377-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN DPO241) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |