| NPI | 1417193855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESIA MEDLEY Administrator 704-536-7326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |