| NPI | 1184627812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARLAND WASHINGTON SEWELL President 910-326-3349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 694) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2012-01-30 |