| NPI | 1003876178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA LADD Owner 919-544-1336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 127) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2008-03-21 |