| NPI | 1073058012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T STOKES CEO 662-332-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AR 1073058012) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2024-03-26 |