| NPI | 1629122213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT ADJATEY Owner 336-379-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01036) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-05-27 |