| NPI | 1023129418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUADALUPE MEDINA Owner 770-442-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA L20062933) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-20 |