| NPI | 1982026175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CADE YANCHO Vice President 919-441-0023 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2023-04-09 |