| NPI | 1689771768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNIE A HALTIWANGER Owner 803-739-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 032369277) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |