| NPI | 1225352735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE DONALD MCCREA Owner 252-757-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 5004089) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2023-03-07 |