| NPI | 1609692060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CONNOR GILSENAN President 843-991-4836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2024-12-02 |