| NPI | 1649812728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE DENISE SMALLS Director 843-782-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2026-08-20 |