| NPI | 1578907457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FIELDS DE HERDER Owner 843-766-6494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-05-21 |