| NPI | 1255606729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK Y GURLEY Managing Owner 919-237-3608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| Enumeration Date | 2012-03-17 |
| Last Update Date | 2023-06-23 |