| NPI | 1770245433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL KILLINGSWORTH Owner 770-506-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2022-04-11 |