| NPI | 1326348822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA D. RESPRESS Director 843-270-9307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2010-10-30 |
| Last Update Date | 2010-10-30 |