| NPI | 1801024435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFE OWEN Manager 678-817-4418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 305849627) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2019-01-31 |