| NPI | 1073672408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN IGWILO President 704-999-2089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-05-12 |