| NPI | 1619912490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG KIRBY Owner 864-487-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 011-090482) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |