| NPI | 1013955194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY NURNBERG Director 770-379-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: GA 113146) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2010-03-25 |