| NPI | 1609542083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CROMITY Owner 919-474-9336 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |