| 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 |