| NPI | 1912158742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE R BOLIN Owner 843-522-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 1222) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |