| NPI | 1356541551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L BLACKMON Auxiliary Coordinator 803-286-1474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2008-06-30 |