| NPI | 1568214450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA WATERS Owner 803-851-3353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |