| NPI | 1205571643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORANNYI TAVERAZ President 919-357-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2024-04-15 |