| NPI | 1659586253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCI HOERTT Billing 704-655-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00976) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |