| NPI | 1154370021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ZEDIKER Administrator 478-743-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-12-14 |