| NPI | 1275520140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C DOLAN Owner 704-333-8431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 73) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-08-22 |