| NPI | 1174012231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SUAREZ Business Manager 678-878-3142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2022-11-02 |