| NPI | 1518150176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ELLIOTT PEYSER Owner 843-766-3768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 010618414) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2015-04-02 |