| NPI | 1780408385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACHELLE WISE Managing Member 678-365-0514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |