| NPI | 1700225513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA ILDERTON Owner 843-576-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |