| NPI | 1477552214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE B CASSELS President 706-798-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2020-08-22 |