| NPI | 1861710477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO LEATHA PETERSON President 910-674-3408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01646) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |