| NPI | 1689295255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN BENTLEY Sole Mbr 803-203-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |