| NPI | 1861580987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE A MISSROON Manager/Owner 843-871-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 018126582) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 018126582) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |