| NPI | 1912149709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO MCKIE Director 803-473-2561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |