| NPI | 1366674830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS RANDALL THOMPSON President 704-632-1683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2010-03-22 |