| NPI | 1730834771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONI RAINEY-HAYNES Co Owner 407-383-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2024-03-04 |