| NPI | 1790575447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO GLOVER Owner 910-214-3076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-08-29 |