| NPI | 1639681752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI EVANS Owner / Practitioner 803-415-4947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2021-01-06 |