| NPI | 1063991578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER M. DAVIS President 919-556-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 8811) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-09-25 |