| NPI | 1023856515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSIE MADUAGU Authorized Official 678-819-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |