| NPI | 1306926555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN FLIEHR KETZNER President 704-651-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 149925) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |