| NPI | 1114987344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH SPEERLI Admin Director 910-793-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 61919) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NC 61919) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 61919) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-07-10 |