| NPI | 1669625521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA DAVIS Director Of Finance/Administration 843-971-8941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2023-01-16 |