| NPI | 1568229631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONTANNA DEVANE Owner 336-543-0944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-03-11 |