| NPI | 1093002081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY K VAN ROMER Sole Member 864-888-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-08-02 |