| NPI | 1124411236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ALLEN SEGUIN Vice Presidebt 336-404-5069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-03-13 |