| NPI | 1912247842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER D MCLENDON CEO/Owner 803-926-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 51-8016088331-2) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2022-05-25 |