| NPI | 1720020456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H HAUSER President 336-714-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00823) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-08-22 |