| NPI | 1003190927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA P GRANT President 919-280-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 000221286) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2020-04-29 |