| NPI | 1629029848 |
|---|---|
| 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 |