| NPI | 1023861150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH VICTORIA HAYNES Gc And CAO 704-249-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |