| Organization Name: | LAKE WYLIE HEALTH INVESTORS INC |
| NPI Number: | 1336424167 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KYLE MCHUGH (PRESIDENT) |
| Mailing Address: | 221 Latitude Ln Ste 109 Lake Wylie |
| State: | SC US |
| Postal Code: | 297108117 |
| Phone Number: | 8038312044 |
| Fax Number: | 8039398489 |
| NPI Enumeration Date: | 10/12/2011 |
| NPI Last Update Date: | 12/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |