| NPI | 1164428025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SALMONS Office Manager 252-638-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2021-12-09 |