NPI | 1750663837 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH YOUNG Director Of Contracting 336-397-0991 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
Enumeration Date | 2011-09-14 |
Last Update Date | 2017-10-18 |