| NPI | 1568659928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE S HADER Appointed Official 843-284-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 34655) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2009-04-16 |