| NPI | 1700110889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN DENISE FORRISTER C.O.O. 770-736-3028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2010-10-13 |