| NPI | 1275574634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L MEADE Operator 478-328-3206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA 301504256) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |