| NPI | 1902787229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA L GROSS President 404-917-3721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-11 |
| Last Update Date | 2025-09-11 |