| NPI | 1194056184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE LENIHAN Nutrion Services Branch Head 919-707-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC DME permit 01609) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |