| NPI | 1497113500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWINA W. SANDERS LISBON Contracts Manager 803-509-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2019-06-19 |