| NPI | 1013149673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WILMOT A/R Supervisor 864-482-0064 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2010-05-18 |