| NPI | 1891932927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHOREN GASPARIAN Owner 912-692-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 423450) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2010-07-28 |