| NPI | 1134213002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE DUBOSE MOORE Owner/President 770-954-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-01-16 |