| NPI | 1780398453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY DE'SANTIS REAVES Owner 803-504-4067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2023-01-09 |