| NPI | 1124464334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY BRENT WALKER Chief Executive Officer 662-253-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |