| NPI | 1942439468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW MAMMEN CEO/President 678-423-7065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2016-04-26 |