| NPI | 1437521523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY MCEACHIN Director 336-865-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2022-05-19 |