| NPI | 1659642536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKARA ROCHELLE QUANDER Owner 678-368-8810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |