| NPI | 1124865647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLONDA CASTRO Authorized Official 678-272-2538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2026-01-21 |