| NPI | 1700917390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENSIE D LUCAS Assistant Area Director 910-323-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2008-01-16 |