| 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 |