| NPI | 1235022195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMEKA STEPHENS Owner 336-675-6494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-08-01 |