| NPI | 1396186946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J. WALSH Owner 704-844-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00770) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |