| NPI | 1952702409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA PERRY Member/Owner 770-831-5568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |