| NPI | 1609044767 |
|---|---|
| Other Name | LAKE CITY COMMUNITY HOSPTIAL DME |
| Entity Type | Organization |
| Authorized Contact | CHERI REED Credentialing 803-799-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-03-11 |