| NPI | 1659677102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY HUEY Sole Mbr/Authorized Official 704-651-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01734) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2013-11-20 |