| NPI | 1487632394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JACKSON President 843-572-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 008181380) |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2020-08-22 |