| NPI | 1225059181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E PARE Owner 770-475-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 20012160158) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-06-03 |