| NPI | 1114964491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROHDE Managing Member 828-327-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 00064) |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 1002186) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: NC 00064) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC C18040) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-04-17 |