| NPI | 1649658287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORINE FLEMING Owner 910-904-2377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01700) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 01700) |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |