NPI | 1205034592 |
---|---|
Entity Type | Organization |
Authorized Contact | DIMITRI K. SLEEM Director 910-977-5511 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01169) |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NC 01169) |
335E00000X Prosthetic/Orthotic Supplier (Licence: NC 01169) | |
Enumeration Date | 2007-07-06 |
Last Update Date | 2020-08-22 |