| NPI | 1346252988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY FRANKLIN IVESTER Owner/President 704-868-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: NC 502503632162) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |