| NPI | 1790163806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C JOHNSTON President / Owner 919-207-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC none) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2015-05-08 |