| NPI | 1205086154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE CLARKE President 770-449-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 2010OCC-004793) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2011-01-31 |