| NPI | 1902962129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERALD DESHON FORREST President Of Home Health Division 336-272-0166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 155193) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |