Provider Demographics
NPI:1912278458
Name:WHEELCHAIR AND SCOOTERS RENTALS OF MYRTLE BEACH INC
Entity Type:Organization
Organization Name:WHEELCHAIR AND SCOOTERS RENTALS OF MYRTLE BEACH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIK
Authorized Official - Middle Name:RUDY
Authorized Official - Last Name:MUSILUNAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-457-7749
Mailing Address - Street 1:3012 MARSH ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29579-5320
Mailing Address - Country:US
Mailing Address - Phone:843-457-7749
Mailing Address - Fax:
Practice Address - Street 1:3012 MARSH ISLAND DR
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29579-5320
Practice Address - Country:US
Practice Address - Phone:843-457-7749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23251332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies