| NPI | 1912132770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORA REID Owner 803-707-1997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 0739824) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |