| NPI | 1679557342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L SPARROW Owner 704-948-9075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 600161592) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-08-22 |