| NPI | 1841561818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTHEA L MACK Owner 843-263-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 00728436) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-02-08 |