| NPI | 1922009323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB MARK NYGAARD Sec/Tres 828-652-1989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00484) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2008-04-28 |