| NPI | 1215190533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH VICTORIA HAYNES Sr. Counsel And Chief Compliance Of 704-249-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2023-09-25 |