| NPI | 1104934231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE LEON THOMPSON Owner 601-346-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2022-07-21 |