| NPI | 1972927564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN MCNALLY CEO 843-797-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2025-01-27 |