| NPI | 1821356304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE JACKSON Executive Director 803-446-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |