| NPI | 1104066489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON STOREY President/CEO 706-326-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 131812) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2019-12-24 |