| NPI | 1417275264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER WILLIAM GREAR President/Owner 252-634-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2010-05-04 |