| NPI | 1033429501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY HOLT CFO 601-352-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |