| NPI | 1750435863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISSIE CRAWFORD Senior Csr 803-773-0387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 2009304) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |