Black River Medical Supplies and Equipment, LLC
NPI #1912654989 in Kingstree, South Carolina
Provider Information
- NPI Number
- 1912654989
- Entity Type
- Organization
- Organization Name
- Black River Medical Supplies and Equipment, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 9, 2022
- Last Updated
- Jan 3, 2023
Practice Location
- Address
- 482 NELSON BLVD
- City
- Kingstree
- State
- South Carolina
- ZIP Code
- 29556-4025
- Phone
- (843) 355-5545
Authorized Official
- Name
- VICKIE B MITCHELL, BA
- Title
- CO-OWNER
- Phone
- (843) 355-5545
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
| Durable Medical Equipment & Medical Supplies |
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