| NPI | 1205831765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME H HUELLEMEIER President 478-451-5185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 332b00000x) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-10 |