| NPI | 1871368076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASIB MATEEN Authorized Official 470-227-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2023-11-17 |