| NPI | 1104828342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OWEN E AYCOCK Owner 828-254-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 00148) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2022-12-21 |