| NPI | 1790557932 |
|---|---|
| Former Legal Business Name | FULL PLATE INDUSTRIES, LLC |
| Entity Type | Organization |
| Authorized Contact | KEISHA N. FORD-JENRETTE Owner 678-469-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |