| NPI | 1932378874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE WASHINGTON Owner 704-712-8454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01379) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-07-24 |