| NPI | 1144527615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOTT DEVAE GRIFFIN CEO 704-606-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: NC 9006604080) |
| Additional Taxonomies | 305S00000X Point of Service (Licence: NC 9006604080) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 9006604080) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |