| NPI | 1255494829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROBERT BAUER CEO 704-644-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2009-06-08 |