| NPI | 1770638470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HOLDER Owner 770-788-1505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 00204085) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-02-04 |