NPI | 1881679470 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON WORKENS Operations Manager 843-379-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
335E00000X Prosthetic/Orthotic Supplier | |
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
Enumeration Date | 2005-12-07 |
Last Update Date | 2012-02-15 |