| NPI | 1245759760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA WEIL-CUNNINGHAM Manager 910-350-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |