| NPI | 1417116583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY LARRY GRIMES Owner 404-376-7479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2012-02-08 |