| NPI | 1992971113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RUTH DICKSTEIN Owner 404-641-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2024-07-29 |