| NPI | 1275978389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD GREEN Owner 843-532-3740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |