| NPI | 1538423389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MICHAEL STANLEY Director 704-516-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2023-01-26 |