| NPI | 1194994269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRUS COMILLUS DARDEN Owner 919-524-9461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01391) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2008-02-27 |