| NPI | 1992881890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DWAYNE BURCHAM Co Owner 336-266-1359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2008-01-15 |