NPI | 1770093114 |
---|---|
Entity Type | Organization |
Authorized Contact | KARA RICHARDSON VP Managed Health 704-631-0450 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2017-10-11 |
Last Update Date | 2025-09-26 |