| NPI | 1982495180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYNESES GLENN Managing Member 423-226-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-05-15 |