| NPI | 1720075450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY C FEDERICO Manager 919-459-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 000878433) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 00811) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2009-04-16 |