| NPI | 1992758049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCARLETT LUTZ President/Owner 843-317-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-06-13 |