| NPI | 1770689135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SWANSON LITTLE President 704-799-2873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 224900000X Mastectomy Fitter |
| 225000000X Orthotic Fitter | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01026) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 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 | 2006-09-15 |
| Last Update Date | 2022-09-12 |