| NPI | 1801878376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC HUNTLEY SUDDARTH President 803-551-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: SC 040616379) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-08-22 |