| NPI | 1548978968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIQUO HOLLIDAY Administrator 864-303-4052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |