NPI | 1659921823 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDIA B OWENS Co Owner 704-408-6950 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-09-18 |
Last Update Date | 2019-09-30 |