| NPI | 1689457772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON YURI ONOUFRIENKO Owner 678-387-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2024-02-08 |