| NPI | 1144958638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM AYCOCK Manager 828-254-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2025-02-04 |