| NPI | 1023507555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AALIYAH MONNAN President 770-663-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |