| NPI | 1811922305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KECIA TUCKER KALU Manager 919-510-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01173) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |