| NPI | 1699779280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER FOSUT MARCHANT President / Owner 910-323-9016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 1005584) |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2021-11-22 |