NPI | 1497314249 |
---|---|
Former Legal Business Name | DME BY PREVENTIVE HEALTH CARE USA LLC |
Entity Type | Organization |
Authorized Contact | GARY ANTHONY CLOWERS Single Managing Member 678-371-2952 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-06-06 |
Last Update Date | 2021-02-09 |