| NPI | 1952372476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY D WHITLEY CEO 704-982-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00432) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-22 |