| NPI | 1124127220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON LARKIN KENNEDY President 601-703-9614 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 050-05340-4) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-04-21 |