| NPI | 1770992307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M SHAFFER Member 704-497-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |