| NPI | 1689075418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JOE REED Partner 803-934-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 014080362) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 014080362) |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: SC 014080362) | |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |