| NPI | 1790785541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J. DRESSEN VP Of Operations 919-577-6458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 756) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: NC 756) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: NC 756) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2020-12-11 |