| NPI | 1275367195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE Y BIDGOOD Owner 704-236-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-02 |
| Last Update Date | 2024-09-02 |