| NPI | 1629175674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELICK B ELLIOTT President 919-303-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |