| NPI | 1033213061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRIS CORNELIUS MCPHAIL President 910-299-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2009-02-11 |