| NPI | 1073779518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M DUNN Secretary 910-796-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2010-01-13 |