| NPI | 1851376180 |
|---|---|
| Doing Business As | PILOT CLUB LIFELINE |
| Entity Type | Organization |
| Authorized Contact | BUCK BRINSON Exec Director 803-765-0574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2020-08-22 |