| NPI | 1164475562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE PATRICK Owner 912-659-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 446199) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |