| NPI | 1447208301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY LEWIS MCDONALD Owner 803-794-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-09-01 |