| NPI | 1235694787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KIRKLAND PURCELL Owner 843-478-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2021-03-03 |