| NPI | 1629076922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY ROBERT BARDO President, Owner 704-661-2676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 046273824) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2020-08-22 |