| NPI | 1306261540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SMITH Owner 706-975-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |