| NPI | 1770848202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA W MULLINS Manager/CEO 843-687-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |