| NPI | 1619203171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG STEVEN COHEN Owner 843-333-1629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2009-10-19 |