| NPI | 1770501736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO SILVA Owner 770-528-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-10-13 |