| NPI | 1619097490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA JANET ULLO Owner 704-875-8473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |