| NPI | 1861778359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANEKQUA I HUDSON Authorized Offical 912-436-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2014-06-18 |