| NPI | 1912050790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN THARP President 704-865-6551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01119) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |