| NPI | 1720801848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRELVIS JOVAN WHITE Owner 478-960-9612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2025-06-03 |