| NPI | 1437842283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY ALAN MISENHEIMER CFO 678-673-9356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2024-11-08 |