| NPI | 1760678361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT KEELS WYLIE President 803-581-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 600807) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |