| NPI | 1386630200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHU M MATHEW CEO 803-936-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 326736) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312127) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2011-06-24 |