| NPI | 1164915427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYANNA WILLIS President 404-448-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-12-05 |