| NPI | 1518844414 |
|---|---|
| Doing Business As | LONGSTREET OF NGHS |
| Entity Type | Organization |
| Authorized Contact | KAREN L REYER Director, Cbo 770-219-8051 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |