| NPI | 1902286396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LOUIS MCCORKELL Owner 919-916-9737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-08-12 |