| NPI | 1497841704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD CHARLES NEDER President 910-362-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 00930) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2015-01-16 |