| NPI | 1427015536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANK BENJAMIN GOFF Owner 803-408-2858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2007-07-17 |