| NPI | 1831812247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELTON BRYAN COOPER Owner 803-546-4760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-22 |