| NPI | 1740451855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED LAMAR HYDE Owner/Manager 478-474-5641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |