| NPI | 1972526861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE S WEAVER President 251-661-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AL 595) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-03-20 |