| NPI | 1316096639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN AUDREY LAZENBY President 706-836-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-06 |