| NPI | 1992955389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MICHELLE PENN President 678-462-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2009-11-24 |