NPI | 1629274279 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE S GODFREY Owner 864-232-4597 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 437) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2007-09-14 |