| NPI | 1477839496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE A. FURGESON Owner/President 770-679-4376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2015-03-31 |