| NPI | 1023478435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE F PHELAN Owner/Provider 601-883-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 80145) |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |