| NPI | 1033451521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA RICHARDSON CARR Owner 704-222-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 1458264) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |