| 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 |