| NPI | 1518996677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERION A GODWIN Office Manager 336-378-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2007-12-05 |