| NPI | 1255329512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE IDA SOLOMON Partner 912-354-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2009-08-18 |