| NPI | 1760493514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE STEELE KISER Managing Member 704-864-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 3515171040417) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |