| NPI | 1942457833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW BLAKE PATTERSON Owner 803-465-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2008-08-21 |