| NPI | 1770827057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARLINE JACKSON President 919-677-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 71590) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |