| NPI | 1134799604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACORY SUMMERS Managing Member 803-908-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-08-09 |