| NPI | 1104252493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES WILLIAMS WEEKS Cof/Owner 888-686-0011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |