| NPI | 1255429908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JETT Administrator 843-667-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 021306329) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-07-21 |