| NPI | 1952136525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYSHA PENNERMAN Authorized Official 404-855-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |