| NPI | 1043781990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CAROL JOHNSON Director, Managed Health And Enroll 336-713-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2025-05-01 |