| NPI | 1679523179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER BLACKWELL President 864-676-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC DE1348) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC EN2007) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-03-10 |