| NPI | 1568594661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINFORD THOMPSON Owner 803-533-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 03822144186141) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |