| NPI | 1144928383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JEFFERSON BOITER Owner 864-220-2781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-02-17 |
| Last Update Date | 2023-10-11 |