| NPI | 1750786604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIKESHIA OUTTEN Owner/Respiratory Therapist 803-463-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: SC 028126894) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |