| NPI | 1710491204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATORIA NATE WILSON President 678-742-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |