NPI | 1518966456 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN STUART HUFFMAN Vice President / Owner 336-627-0750 |
Organization Subpart ? | No |
Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 00125) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00125) |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 00125) | |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009062) | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: VA 0206009062) | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA 0206009062) | |
Enumeration Date | 2005-07-20 |
Last Update Date | 2011-12-06 |