Organization
LEVEL FOUR ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH YOUNG (DIRECTOR OF CONTRACTING)
(336) 397-0991
Entity
Organization
Contact information
Practice address
11001 DURANT RD, SUITE 114, RALEIGH, NC 27614-8390
(919) 334-6828
(919) 714-7265
Mailing address
2534 EMPIRE DR, WINSTON SALEM, NC 27103-6710
(336) 397-2165
(336) 397-2167
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
332BD1200X
Dialysis Equipment & Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
10/18/2017
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