| NPI | 1316195712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENEDETEH U MOH Administrator 770-477-4755 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 031 R 0040) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-10-28 |