| NPI | 1093041071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILA LASHELLE BROWN Owner 910-480-8391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |