| NPI | 1386299451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN FRANK COREY General Manager 910-755-5438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |