| NPI | 1346646882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARKEISA S AVERY Owner 919-615-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2023-03-01 |