| NPI | 1073925558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MORRISEY Manager 843-647-7154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2014-06-02 |