| NPI | 1053500371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERICA TEKINA WILLIAMS President 252-202-0908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| 332S00000X Hearing Aid Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |