| NPI | 1124432315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMAS STUART Member Manager 910-975-4517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-06-16 |