| NPI | 1972541696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P CHARNOCK President 251-633-9960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 2006-001281) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2015-05-14 |