| NPI | 1992905160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE EDWARD LUPTON Owner/Manager 919-781-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00430) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |