| NPI | 1245318211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA AGOR Owner 704-854-9257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 00993) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-09-16 |