| NPI | 1629253117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE M CLEMONS CEO 770-333-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 332U00000X Home Delivered Meals | |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |