| NPI | 1619423290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA JOHNSON President 252-452-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |