| NPI | 1689946782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL WORTHINGTON Supervisor 336-965-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2012-02-03 |