| NPI | 1750671434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA WILSON QUINN Owner 864-232-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 023076840) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |