| NPI | 1568917201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE REGALADO President 404-740-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-11-22 |