| NPI | 1891987897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIN PRITCHER Manager 803-782-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: SC 332BC3200X) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |