| NPI | 1306960836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLYN E. LEWIS CEO 770-422-9856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2012-01-05 |