| NPI | 1225920945 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ELIZABETH MARIE MOBLEY Authorized Official 912-547-0228 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2025-07-17 | 
| Last Update Date | 2025-07-17 |