| NPI | 1023425014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUEL MIJARES BAUTISTA CEO 404-436-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |