| NPI | 1558221101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY CLARKE Owner 843-940-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |