| NPI | 1326274762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY DION RICHARDSON Member 919-484-4119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |