| NPI | 1013263813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SMITH Administrator 228-363-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |