| NPI | 1184735706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP DECLEMENTE Chief Operating Officer 843-375-2870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 010730667) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-11-15 |