| NPI | 1679824163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JOSEPH DOMBROWSKI Owner 336-626-8489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2015-10-19 |