| NPI | 1114115979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA RICHARDSON Assistant Treasurer 704-631-0450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2025-10-14 |