| NPI | 1811348345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYRONE WILSON Owner/President 252-945-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |