| NPI | 1730115254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J MILENSKI President 919-859-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: NC 070021702) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-12-07 |