| NPI | 1063530996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN COONS Manager 919-220-0740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00481) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |