| NPI | 1063782597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY JOHNSON President 601-906-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |