| NPI | 1528437373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW EARL GLOVER CEO 980-585-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2022-06-30 |