| NPI | 1316613490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CROMITY Owner / Authorized Official 919-474-9336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2024-01-22 |