| NPI | 1275769572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG SHEALY Owner/Pres 803-781-2925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: SC 032086206) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |