| NPI | 1669609145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS M CHUKWURAH Administrator 770-572-0794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-07-20 |