| NPI | 1598039497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA HAYES Owner/Operations Manager 770-609-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 19125027) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |