| NPI | 1467214866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCEDES CHANTAL GARRISON Manager 336-693-0905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-02-05 |