| NPI | 1669605275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MILLER Authorized Official 704-919-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-29 |
| Last Update Date | 2010-10-22 |