Organization
PROFILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE R BOLIN RN (OWNER)
(843) 522-1666
Entity
Organization
Contact information
Practice address
2015 BOUNDARY ST, SUITE 235, BEAUFORT, SC 29902-6802
(843) 522-1666
(888) 310-4926
Mailing address
2015 BOUNDARY ST, SUITE 235, BEAUFORT, SC 29902-6802
(843) 522-1666
(888) 310-4926
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1222
SC
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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