| NPI | 1912200601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATINA YOLANDA PRIDGEON Owner 404-438-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |