| NPI | 1871724633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBIE WAYNE WRIGHT Owner 843-696-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 101305478) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |