| NPI | 1811171671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE REIMANN Administrator 336-595-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 0313190006) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2008-01-04 |