| NPI | 1558932616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WILLIAM AMMONS Owner 843-871-0711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |