| NPI | 1063628584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE WRIGHT Owner 601-946-2767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 06614111) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |