| NPI | 1427159219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY R LEIF President 704-400-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 0436383) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-09-24 |