| NPI | 1164415378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI W CHAMBLEE Owner Vice President 252-332-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 00609) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2013-07-09 |