| NPI | 1023219714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK HESTER Owner 864-472-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 2209) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2011-12-06 |