| NPI | 1669628442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE E CROOM President 919-834-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 791) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |