| NPI | 1912126707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DONALD WALL Owner 864-877-3386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |