| NPI | 1659353183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER S LITTLE Managing Partner 704-641-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 203 000390) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 69000028A) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2022-10-06 |