| NPI | 1811646532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASHANNA FLANAGAN Owner 843-412-8862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-03-21 |