| NPI | 1821293424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LORD Principle 704-562-1958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2020-08-22 |