| NPI | 1174907018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA DELORES ALLEN Owner 252-366-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |