| NPI | 1083640940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JAN GRIGSBY CFO 864-512-1109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2025-05-23 |