Provider Demographics
NPI:1659515393
Name:PALMETTO RESPIRATORY & REHAB INC
Entity Type:Organization
Organization Name:PALMETTO RESPIRATORY & REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:MINGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-408-6335
Mailing Address - Street 1:901 S SANTIAGO DR STE F
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-6090
Mailing Address - Country:US
Mailing Address - Phone:843-664-8808
Mailing Address - Fax:843-664-8809
Practice Address - Street 1:901 S SANTIAGO DR STE F
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-6090
Practice Address - Country:US
Practice Address - Phone:843-664-8808
Practice Address - Fax:843-664-8809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies