| NPI | 1184629222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA M WENSLEY Co Owner 336-659-3595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2018-08-16 |