| NPI | 1205023413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY RUNELL SMITH Owner 910-892-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 183500000X) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |