NPI | 1194737809 |
---|---|
Former Legal Business Name | BRENTWOOD ANCILLARY SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | M. SCOTT HARDIN President 770-650-6672 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-12 |
Last Update Date | 2010-02-08 |