| NPI | 1821323437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA YOUNG SUTTON Owner/Operator 803-920-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 2009-38960-38100) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2010-11-29 |