| NPI | 1912654989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE B MITCHELL Co Owner 843-355-5545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2023-01-03 |