| NPI | 1508902347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIE M. POOLE Manager 704-838-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 0700001749) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-07-30 |