| NPI | 1164587747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ROBERTS BAKER Owner 864-487-2142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 011104048) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |