| NPI | 1770573263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY JOE REED Owner 803-934-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 65006651) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2022-08-18 |