| NPI | 1457071383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA PINKSTON Owner 843-814-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2023-12-19 |