| NPI | 1043303720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOSHIA ADDISON President 803-939-1916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |