| NPI | 1346432192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA MARIA HALTIWANGER Owner 803-644-6721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 010100) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2008-05-23 |