| NPI | 1073755542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GLENN JOHNSON President 601-316-6958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |