| NPI | 1912278458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIK RUDY MUSILUNAS Owner 843-457-7749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 23251) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |