| NPI | 1700937083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN FERGUSON SCHRADER President 843-706-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 65003600) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2009-01-21 |