| NPI | 1417785619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAED IMMTEIRAH President 770-282-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |