| NPI | 1851591465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAIAH VINCENT OGLESBY Owner 336-457-5930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2007-07-21 |