| NPI | 1720475908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMAURICE SCOTT Chief Executive Owner 678-956-7838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 2631) |
| Enumeration Date | 2015-04-25 |
| Last Update Date | 2015-04-25 |