| NPI | 1518933217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA W BAREFOOT President 910-904-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 00349) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00349) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2020-08-22 |