| NPI | 1346646882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARKEISA SHERELL AVERY Owner/ Manager 919-537-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2024-10-28 |