| NPI | 1972043719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA HARDAWAY Owner 910-849-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NC C88537) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |