| NPI | 1205676160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARANDA B DAVIS Owner/Specialist Operator 803-218-9713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |