| NPI | 1861465205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA BOYD JEFFERSON President 336-228-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC 335E00000X) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-12-04 |