| NPI | 1598448110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIA KIM WEST Manager 912-417-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2024-02-21 |