| NPI | 1053641464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA DELLA MCLEAN Director 910-864-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01615) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |