NPI | 1972796670 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD BRADSHAW Owner 843-266-0027 |
Organization Subpart ? | No |
Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
Enumeration Date | 2007-08-25 |
Last Update Date | 2007-10-16 |