| NPI | 1730298969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RAY WELBORN Owner 803-233-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 032371031) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2011-03-04 |