| NPI | 1649106667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARICE MARTIN Administrator 864-787-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-06-18 |
| Last Update Date | 2026-06-18 |