| Organization Name: | PROFESSIONAL HEALING SOLUTIONS LLC. |
| NPI Number: | 1164553863 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PENNIE LYNN WICKS PELFREY (PRESIDENT CEO) |
| Mailing Address: | 352 Lantana Rd Crossville |
| State: | TN US |
| Postal Code: | 385554912 |
| Phone Number: | 9313370404 |
| Fax Number: | 9313370401 |
| NPI Enumeration Date: | 03/07/2007 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |