| NPI | 1902801244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET WOODALL Director, Contracting 336-397-0993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC NA) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2020-05-15 |