| NPI | 1992448989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINNY ANDERSON Hr 803-926-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |