| NPI | 1235352238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID STOKES BROOKS President 843-464-0061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 4629) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-06-13 |