| NPI | 1417202821 |
|---|---|
| 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 |