| NPI | 1114969623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDETTE TUCKER Owner CEO 843-665-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 047123450) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |