Evening Pilot Club of Sumter Foundation, Inc.

NPI #1023078144 in Sumter, South Carolina

Provider Information

NPI Number
1023078144
Entity Type
Organization
Organization Name
Evening Pilot Club of Sumter Foundation, Inc.
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 23, 2006
Last Updated
Aug 7, 2008

Practice Location

Address
940 SHADOW TRAIL
City
Sumter
ZIP Code
29150-2351
Phone
(803) 469-8169

Authorized Official

Name
MR. VERLE D HABBERSTAD
Title
PROGRAM MANAGER
Phone
(803) 469-8169

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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