NPI | 1629029848 |
---|---|
Doing Business As | A SPECIAL PLACE |
Entity Type | Organization |
Authorized Contact | JAMELA ANNETTE HODGSON Owner 336-574-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-05-12 |
Last Update Date | 2023-11-28 |