| NPI | 1568493203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE RAST Secretary/Treasurer 843-332-5193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 16041757) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-11-17 |