| NPI | 1720197940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE EMRICK Controller 770-992-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-11-11 |