| NPI | 1619191137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNA TAMARA HERNANDEZ Owner 770-974-6797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-08-12 |