| NPI | 1285931634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE J CHAMBLEE Director 910-350-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01758) |
| Additional Taxonomies | 171WH0202X Contractor Home Modifications |
| 171WV0202X Contractor Vehicle Modifications | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2014-03-10 |