| NPI | 1104007632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T STOKES CEO 662-820-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AL SLSR000028009) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2024-03-26 |