| NPI | 1740559681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH VICTORIA HAYNES Sr. Counsel And Chief Compliance Of 704-249-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2022-03-03 |