| NPI | 1134152648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH S MCNULTY President 601-849-4112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 02319/1.1) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |