NPI | 1245585652 |
---|---|
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 |
Enumeration Date | 2012-07-23 |
Last Update Date | 2021-05-04 |