| NPI | 1124205653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS HARRISON Owner 601-914-1004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MS 02369/11.1) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MS 02369/11.1) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2009-05-01 |