| NPI | 1972837995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MARIE KUCHARSKI-NELSON Manager/Secretary 704-377-4356 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 006051877) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2023-09-07 |