| NPI | 1952448847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MITCHELL WRIGHT Secretary Of Corporation 336-623-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 04073) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2009-10-21 |