| NPI | 1790837847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE H HAMMON Manager 336-625-1387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01247) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2010-02-26 |