| NPI | 1023897444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ROBERT SOUTHWORTH Partner 662-377-2663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |