| NPI | 1477144525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA GWENETTE SULLIVAN Managing Director 864-209-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2021-02-01 |