| NPI | 1962720508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P TRIPP Managing Member 252-717-9757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV NV20091578123) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-10-18 |