| NPI | 1962618793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE LANCASTER Owner 704-376-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00393) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2011-05-17 |