| NPI | 1992339220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JASON JOLLEY Owner 864-574-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2021-12-09 |