| NPI | 1194040196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANN KENNEDY President/CEO 803-736-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 20103991339055) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |