| NPI | 1467904292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULL FLANAGAN Ower 919-906-3436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |