| NPI | 1083696199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY C CLINKSCALES Owner 864-338-8217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 004175421) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2009-12-22 |