| NPI | 1346399987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE BEAGLES-MANGRUM Owner 864-275-2728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-10-11 |