| NPI | 1083696991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L MCDONALD Owner 803-794-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2020-08-22 |