| NPI | 1033103023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANYELLE CARROLL CEO 601-932-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 12380) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2012-01-25 |