| NPI | 1699396531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER WERTHAISER Owner 678-871-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2021-05-04 |