| NPI | 1164979316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBI STANLEY Owner 919-460-9665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 6240) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: NC 6240) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |