| NPI | 1407254238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA PERRY Owner/Member 770-831-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |