| NPI | 1508251141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNETA CYNTHIA ADEWUMI President 704-430-0409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 02272) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-04-11 |