| NPI | 1336631779 |
|---|---|
| Former Legal Business Name | DAVIS HOME MEDICAL SUPPLY, LLP |
| Entity Type | Organization |
| Authorized Contact | NATASHA DAVIS Owner 803-351-9513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |