| NPI | 1437117785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM K SELL Operations Manager 843-669-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |