| NPI | 1366975948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSA MEDICAL HENDERSON Owner 704-301-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |