| NPI | 1467093690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MCKINNEY Manager 919-897-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2019-09-29 |