| NPI | 1043244270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LEE GILBERT Owner 864-940-0135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 004315404) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-03-27 |