| NPI | 1881461598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE PATTY HANNAH Surrogate 770-892-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |