| NPI | 1063751246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN HERNANDEZ General Manager 843-225-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: SC LIC-11-12-84965) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |