| NPI | 1376830273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY JOHNCOUR Owner 919-556-3402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-08-14 |