| NPI | 1861772360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANSWALA TIRELL SCOTT CEO 843-873-7327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-28 |
| Last Update Date | 2011-08-28 |