| NPI | 1205103744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY PETER SANTULLI President 770-339-1190 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2011-12-21 |