| NPI | 1437460136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVERETT HENDERSON Representative 478-256-1597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2010-06-28 |