| NPI | 1538925821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORY SUSSETH VILLAGRAN LOPEZ CEO 470-740-8955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2024-02-23 |