| NPI | 1841498912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN HORNE Owner 803-286-6424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC RCP798) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-08-22 |