| NPI | 1568449551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON OROBOR Director 770-719-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 302613978) |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2018-05-01 |