NPI | 1275762742 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE ELIZABETH BASS Owner 678-519-5593 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2009-07-06 |
Last Update Date | 2013-01-07 |