| NPI | 1962217364 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ISMAIL ARCHIBLE CEO 678-206-6712  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | 
| Enumeration Date | 2025-02-11 | 
| Last Update Date | 2025-02-11 |