| NPI | 1588633374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BLOUGH President 336-665-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00618) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2021-12-17 |