| NPI | 1083844609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDY OSWALD O GANDY Owner 336-457-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |