| NPI | 1366248213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KADIJAH TRIEVETTE DAVIS Owner 336-602-3902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-21 |
| Last Update Date | 2025-02-21 |