| NPI | 1346760501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINAL ANDREASEN Owner 678-778-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |