| NPI | 1386523264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILAL SHABAZZ Owner/ Operator 678-618-6586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-08-27 |
| Last Update Date | 2025-08-27 |