| NPI | 1386703460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RARYMOND C DEFORE Owner 704-865-9858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |