| NPI | 1962497891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER DAVID MCLENDON CEO 803-926-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: SC 65004336) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2023-02-24 |