| NPI | 1659028884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRALETTE C FLYNN Owner 404-747-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |