| NPI | 1275733677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN CURTIS MECKLENBURG President 3147-199-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO 4096730001) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2013-05-16 |