| NPI | 1699649939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL LOFTIS CFO 843-609-5733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |