| NPI | 1861684888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIN PRITCHER Manager 803-732-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: SC 33BC3200X) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |