| NPI | 1528506367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE ANGELE DUFFEY CEO 678-358-7154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-07 |