| NPI | 1295707800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E SIMMONS VP 336-712-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 190) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009315) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-08-22 |