| NPI | 1508802984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM TIVZENDA Manager 770-432-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 116205) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |