| NPI | 1992858237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KELLY PICKETT President Owner 910-298-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-03-26 |