| NPI | 1023362688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINALD DWIGHT MOORE CEO 704-200-1832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2022-07-21 |