| NPI | 1801578158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE T MCKOY President 910-605-8107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |