| NPI | 1427246156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ELY WILSON Owner 864-232-9577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-02-14 |