| NPI | 1538597539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMITT HILL Owner/President 910-864-6503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 02121) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 02121) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 02121) | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 02121) | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: NC 02121) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: NC 02121) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 02121) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2015-04-29 |