| NPI | 1104863034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE JAY ROMERO President 601-894-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 06161) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MS 06161) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 06161) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |