| NPI | 1962604587 |
|---|---|
| Former Legal Business Name | CAROLINA VITAL HOME CARE |
| Entity Type | Organization |
| Authorized Contact | JERRY A STANLEY Chief Operating Officer 252-726-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC CFM00768) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2009-07-06 |