| NPI | 1700116746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRIAN BOURONICH CEO/Owner 843-597-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2021-06-23 |