| NPI | 1831507086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES E ASKE Owner 912-306-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: GA 036701) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |