| NPI | 1033384821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURT L. PATTERSON Owner 228-875-0158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2012-11-28 |