| NPI | 1639196504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ANDY BARLOW Owner 803-424-0410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |