| NPI | 1033355805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BAKER Dir. Of Hr 864-622-0900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: SC 19076) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2021-05-04 |