| NPI | 1477980225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY B. RICHARD Co Owner 864-981-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335G00000X Medical Foods Supplier |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |