| NPI | 1093893406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLAND ANTHONY OLIVER Owner 336-285-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-02-25 |