| NPI | 1184261430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALVA DIMMIG President 919-220-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-01-29 |