Provider Demographics
NPI:1184749947
Name:MEDICAL AIDS
Entity type:Organization
Organization Name:MEDICAL AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:E
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-665-7144
Mailing Address - Street 1:PO BOX 853
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29503-0853
Mailing Address - Country:US
Mailing Address - Phone:843-665-7144
Mailing Address - Fax:843-665-7144
Practice Address - Street 1:4531 W BELMONT CIR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-8915
Practice Address - Country:US
Practice Address - Phone:843-665-7144
Practice Address - Fax:843-665-7144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC552841Medicaid