| NPI | 1386806826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL LEE PASLEY Owner 864-220-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 023016326) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-07-15 |