| NPI | 1487074043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI VALLE Owner 803-939-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 032462479) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-09-08 |