| NPI | 1437474251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY L CUCE Partner 803-934-9212 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC LIC-1-10-40943) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 010018802) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 10793) | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-06-15 |