| NPI | 1073676995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOPE MICHELLE JOHNSON Owner Manager 770-918-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |