| NPI | 1154354165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MACGILLIS President 704-442-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 00934) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-08-25 |