| NPI | 1639491806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA LAWSON CEO 910-409-8476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01676) |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2010-07-12 |