| NPI | 1912077934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M ABBOTT Administrator 912-565-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 2006000451) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |