| NPI | 1154693778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L DANIELLY Managing Owner 478-742-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |