| NPI | 1013362896 |
|---|---|
| Other Name | A SPECIAL PLACE |
| Entity Type | Organization |
| Authorized Contact | JAMELA A HODGSON Owner 336-574-0100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 100033237) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |