Organization
KEYMED CPAP SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIKESHIA OUTTEN (OWNER/RESPIRATORY THERAPIST)
(803) 463-9003
Entity
Organization
Contact information
Practice address
133 DRIFTWOOD AVE, ELGIN, SC 29045-8547
(803) 463-9003
Mailing address
133 DRIFTWOOD AVE, ELGIN, SC 29045-8547
(803) 463-9003
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
028126894
SC
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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