| NPI | 1811102460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L. ROGERS Secretary Treasurer 678-225-4569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-08-18 |