| NPI | 1780637728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISMAEL MONTES Owner,Director 910-642-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 600529866) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |