| NPI | 1053619064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY R LEIF President 704-400-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 0436383) |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2015-11-16 |