| NPI | 1629297494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY C. STALLS President 919-233-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 00324) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-01-23 |