| NPI | 1669704136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WOODRUFF Owner 843-571-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 2996) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-06-29 |