| NPI | 1568760585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MOORE Owner/President 770-954-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-08-11 |