NPI | 1205550506 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE NGWOBIA Owner 919-322-5254 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
253Z00000X In Home Supportive Care | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
Enumeration Date | 2022-09-29 |
Last Update Date | 2025-09-25 |