| NPI | 1114505849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIDA MARIA ROACH Owner 843-224-8684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |