| NPI | 1497800551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MOORE SCHRATWIESER Owner President 678-738-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA 200782730) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |