| NPI | 1295765949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE RICHMOND PEARSON Provider 803-807-9533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 2185) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-04-10 |