| NPI | 1831443456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON IKENNA EJINDU CEO 704-817-9309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 172664) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |