| NPI | 1396867883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C ELLYN President 843-577-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 010160283) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2008-03-10 |