| NPI | 1497222558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINAIDA GORYACHEVA Owner 803-666-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2020-01-15 |