| NPI | 1487193785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LANHAM Owner 803-454-5845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC sc2665) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2018-03-30 |