NPI | 1508556713 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI ALEXANDER MABRY Owner/CEO 678-471-6983 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
Enumeration Date | 2023-05-10 |
Last Update Date | 2024-08-26 |