| NPI | 1215180989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA LASHARN LEWIS CEO/President 910-875-7958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01461) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |