| NPI | 1942889241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALTRINA ROYSTER Owner 404-384-3829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |