| NPI | 1992705446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHWETA PATEL Owner 910-483-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NC 00963) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00963) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 00963) | |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2020-08-22 |