| NPI | 1932353760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DIANE STEVENS CEO/Owner 678-608-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-12-15 |