| NPI | 1912596453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANA PEREZ Patient Representative 704-428-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |