| NPI | 1164409074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BAKER Dir. Of Hr 864-622-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 023793049) |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2021-05-04 |