| NPI | 1356650287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON WILSON PRESCOTT Biller 803-238-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |