| NPI | 1679737183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA FENNEMA President 919-368-5548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |