| NPI | 1912405010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS D BIANCO President 678-492-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |