| NPI | 1629356878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE DURKEE Vice President 770-344-9819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2012-09-04 |