| NPI | 1508120080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MULLINS Managing Member 800-427-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01968) |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2013-05-20 |