| NPI | 1558932426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL WALTERS Owner 910-733-0839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2024-04-03 |