| NPI | 1619351749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS EDWARD BRAGGS Owner/Mgr 803-851-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |